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Progress Notes Page 21 of 53

IMP
-I have made an application for a section 3. he suffers with a paranoid psychosis, most likely schizophrenia and there
are risks to his health (mental), safety (retaliation) and to others-he has threatened his neighbours, filmed through
their letter box etc. in response to his paranoia 6 caused considerable psychological distress.
if this is upheld then we will start a trial of antipsychotic treatment, I do not wish to do this prior to any section 3 as
it will not be beneficial to take medication against his will unless he is subsequently detained on a section 3.
Originator Details: 05 Nov 2018 11:17 Maria Bruce Medical Originally Entered By Details:
05 Nov 2018 11:18 Maria Bruce Last Amended By Details: 04 Dec 2018 16:04 Maria Bruce Validated
By Details: 04 Dec 2018 16:04 Maria Bruce Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed Dorset Ward - Chase Farm Hospital
Whiteboard meeting
CORDELL, Simon P (Mr)

Very preoccupied with tribunal + corruption website No change in presentation

Plan:
1. Application for section 3 ____________________________________________________________________________
Originator Details: 05 Nov 2018 04:15 Bibi Khodabux Nursing Originally Entered By Details:
05 Nov 2018 04:24 Bibi Khodabux Last Amended By Details: 05 Nov 2018 04:27 Bibi Khodabux
Validated By Details: 05 Nov 2018 04:27 Bibi Khodabux Significant: No Added to Risk History:
No
Contains Third Party Info: No Conceal From Client: Not Concealed MHA STATUS: Section 2
MENTAL STATE: 1:1 with Simon who was polite and engaged well. He became anxious when he started discussing the
tribunal .He said he was wrongly accused by police and does not believe he is ill. He still believes his neighbours are
wrong and he is not taking any responsibility for any harm towards his neighbours. He thanked staff for their help and
support on the ward. He agreed to have a copy of his care plan and discussed it at length.
SOCIAL INCLUSION: Mostly on computer in his room during the shift, showing staff his writing about the tribunal.
INVESTIGATION: None carried out.

PHYSICAL HEALTH : He did not report any problem.
He ate and drank well.
MEDICATION: Not on regular medication.

PERSONAL CARE & ACTIVITIES: Is satisfactory, he interacted with fellow patients.
RISK AND OBSERVATION LEVEL: Of slow progress in his mental state due to non-compliance.

On general observation.
LEAVE: Granted section 17 leave. _______________________________________________________________________

https://rio.beh-mht.csc.thirdparty.nhs.uk/rio/Reports/RiOReports.asp 08/01/2019

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